Community Partner Form

Thank you for your interest in being a UAB Highlighted Community Partner. The information below is required in order for you to be included as a Highlighted Community Partner on the UAB Office for Service Learning Website Students who are registered for Service-Learning Courses research potential volunteer opportunities on this website. Please complete the form; it will be transmitted to the Director of the Office for Service Learning.

Name of Community Partner (*)
Please enter your organization name.

What community needs does your organization attempt to address? Does your organization have a mission statement? If so, what is it?
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Website, if applicable:
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Contact Person (for interested Service Learners)
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Contact Information (Email Address, Phone Number, Etc)
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Nature of Volunteer Activities (What will students do?)
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Opportunity Availability (What days and times may students volunteer?)
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Location of Volunteer Activities (Site locations)
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Community Partner Supervisor (Who will supervise and evaluate the student?)
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Supervisor Contact Information (Email Address, Phone Number, Mailing Address)
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What kind of training is involved?
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How long will it take the volunteer to reach the site from UAB? (Approximate travel time)
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What might a student hope to accomplish by completing service with your organization?
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What challenges might a student expect to encounter?
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Please enter the following characters:(*)
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Submit